Christiana R. Titaley;Philips C. Loh;Sabarinah Prasetyo;Iwan Ariawan;Anuraj H. Shankar

印尼婦女社經因子及孕產婦健康服務利用與延後開始及非純母乳哺餵有關：印尼2002/2003及2007人口與健康調查次級資料分析

Christiana R Titaley ； Philips C Loh ； Sabarinah Prasetyo ； Iwan Ariawan ； Anuraj H Shankar

《Asia Pacific Journal of Clinical Nutrition》 23卷1期 (2014/03) Pp. 91-104

https://doi.org/10.6133/apjcn.2014.23.1.18

摘要

本分析目的為評估印尼婦女延後開始哺餵母乳，以及非純母乳哺餵的相關因子。資料源自於2002/2003及2007年印尼人口與健康調查。評估共12,191名，年齡介於0－23個月的活產獨生子女，延後開始母乳哺餵的相關因子。此外，也評估3,187名，年齡介於0－5個月的活產獨生子女，其非純母乳哺餵的相關因子。使用羅吉斯迴歸，評估潛在預測因子與結果的相關性。我們的研究發現來自高家戶財富指標的嬰兒，其延後開始哺餵母乳，及非純母乳哺餵的機會均顯著增加。延後開始母乳哺餵的相關因子，包括：嬰兒來自Sumatera區（OR=1.64，95% CI=1.38－1.95)、剖腹產（OR=1.84，95% CI=1.39－2.44）及出生於公立醫院（OR=1.38，95% CI=1.08－1.76）或是非醫療機構（OR=1.20，95% CI=1.00－1.43）。與非純母乳哺餵相關的其他因子，包括：父母有工作（OR=1.37，95% CI=1.06－1.78）及媽媽在小孩生產時有併發症（OR=1.35，95% CI=1.05－1.74）。然而，來自印尼東部的嬰兒，非純母乳哺餵的機率較低 （OR=0.64，95% CI=0.49－0.85）。母乳哺育落實不佳與環境、社經狀況、懷孕生產的特性及母親健康服務因子有關。要促進母乳哺育，應全面針對那些母乳哺育落實不佳的危險族群。

關鍵字

延後開始母乳哺餵 ； 全母奶 ； 印尼人口及健康調查 ； 印尼

並列摘要

This analysis aims to examine factors associated with delayed initiation and non-exclusive breastfeeding in Indonesia. Data were derived from the 2002/2003 and 2007 Indonesia Demographic and Health Survey. Information from 12,191 singleton live-born infants aged 0-23 months was used to examine factors associated with delayed initiation of breastfeeding. Furthermore, information from 3,187 singleton live-born infants aged 0-5 months was used to identify factors associated with non-exclusive breastfeeding. Associations between potential predictors and study outcomes were examined using logistic regression. Our study found that infants from high household wealth-index had significantly increased odds of both delayed initiation and non-exclusive breastfeeding. Other factors associated with an increased odds of delayed initiation of breastfeeding included infants from Sumatera region (OR=1.64, 95% CI: 1.38-1.95), Caesarean-section deliveries (OR=1.84, 95% CI: 1.39-2.44) and deliveries in government-owned (OR=1.38, 95% CI: 1.08-1.76) and non-health facility (OR=1.20, 95% CI: 1.00-1.43). Other factors associated with an increased odds for non-exclusive breastfeeding included parents who were in the workforce (OR=1.37, 95% CI: 1.06-1.78) and mothers with obstetric complication at childbirth (OR=1.35, 95% CI: 1.05-1.74). However, the odds reduced for infants from Eastern Indonesia (OR=0.64, 95% CI: 0.49-0.85). Poor breastfeeding practices are associated with environmental, socio-economic, pregnancy-birthing characteristics and maternal health services factors. Efforts to promote breastfeeding practices should be conducted comprehensively to target population at risk for poor breastfeeding practices.

並列關鍵字

delayed initiation of breastfeeding ； exclusive breastfeeding ； Indonesia Demographic and Health Survey ； Indonesia

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